| NPI | 1508182361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEWUNMI AKANDE Mrdical Director 704-319-9045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NC 97-01215) |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain (Licence: NC 97-01215) |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2010-04-19 |